{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T00:07:46Z","timestamp":1792541266932,"version":"4.5.0"},"reference-count":22,"publisher":"Springer Science and Business Media LLC","license":[{"start":{"date-parts":[[2024,9,16]],"date-time":"2024-09-16T00:00:00Z","timestamp":1726444800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,9,16]],"date-time":"2024-09-16T00:00:00Z","timestamp":1726444800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Matern Child Health J"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n              <jats:title>Purpose<\/jats:title>\n              <jats:p>To integrate a parenting assessment into primary care and assess pediatric providers\u2019 time needed to review it and their perceptions of the process.<\/jats:p>\n            <\/jats:sec><jats:sec>\n              <jats:title>Description<\/jats:title>\n              <jats:p>The Quick Parenting Assessment (QPA) is a validated, 13 item parent support tool that assesses for healthy and unhealthy parenting practices. Higher QPAs indicate more unhealthy parenting being used. In a clinic serving low-income parents, the QPA was integrated into the 15\u00a0month, 30\u00a0month, 5\u00a0year, and 8\u00a0year well child visits. After each well child visit in which the QPA was administered, providers were invited to complete a one-page survey\u2014315 surveys were included in the analysis.<\/jats:p>\n            <\/jats:sec><jats:sec>\n              <jats:title>Assessment<\/jats:title>\n              <jats:p>Most QPAs (78.7%) were low risk (QPA\u2009&lt;\u2009\u2009=\u20092), 14.6% were medium risk (QPA\u2009=\u20093\u20134), and 6.7% were high risk (QPA\u2009&gt;\u20094). The median time was 15\u201330\u00a0s to review low risk QPAs and 30\u00a0s to 1\u00a0min to review high risk QPAs. For most QPA reviews, health care providers reported that the QPA increased their objectivity in determining the level of support needed (68%), facilitated communication about parenting (77%), and increased the value of the visit (68%).<\/jats:p>\n            <\/jats:sec><jats:sec>\n              <jats:title>Conclusion<\/jats:title>\n              <jats:p>A validated parenting assessment tool, integrated into pediatric primary care, appears to work for pediatric health care providers. These findings have implications for supporting parents in pediatrics, value-based care, and disease prevention.<\/jats:p>\n            <\/jats:sec>","DOI":"10.1007\/s10995-024-03984-6","type":"journal-article","created":{"date-parts":[[2024,9,16]],"date-time":"2024-09-16T10:02:12Z","timestamp":1726480932000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Integrating a Parenting Assessment into Practice: Pediatric Providers\u2019 Time and Perspectives"],"prefix":"10.1007","author":[{"given":"Amber","family":"J Cooke","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tahra I","family":"Attar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Victoria","family":"L Carr","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"C Whitney","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rory","family":"J Tinker","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathryn","family":"L Carlson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Merrill","family":"M Stoppelbein","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"A Jana","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1657-2575","authenticated-orcid":false,"given":"Seth","family":"J Scholer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,9,16]]},"reference":[{"key":"3984_CR1","doi-asserted-by":"publisher","first-page":"24","DOI":"10.1016\/j.chiabu.2017.01.014","volume":"71","author":"TO Afifi","year":"2017","unstructured":"Afifi, T. O., Ford, D., Gershoff, E. T., Merrick, M., Grogan-Kaylor, A., Ports, K. A., & Peters Bennett, R. (2017). Spanking and adult mental health impairment: The case for the designation of spanking as an adverse childhood experience. Child Abuse and Neglect, 71, 24\u201331. https:\/\/doi.org\/10.1016\/j.chiabu.2017.01.014","journal-title":"Child Abuse and Neglect"},{"issue":"3","key":"3984_CR2","doi-asserted-by":"publisher","first-page":"174","DOI":"10.1007\/s00406-005-0624-4","volume":"256","author":"RF Anda","year":"2006","unstructured":"Anda, R. F., Felitti, V. J., Bremner, J. D., Walker, J. D., Whitfield, C., Perry, B. D., & Giles, W. H. (2006). The enduring effects of abuse and related adverse experiences in childhood: A convergence of evidence from neurobiology and epidemiology. European Archives of Psychiatry and Clinical Neuroscience, 256(3), 174\u2013186. https:\/\/doi.org\/10.1007\/s00406-005-0624-4","journal-title":"European Archives of Psychiatry and Clinical Neuroscience"},{"key":"3984_CR3","unstructured":"CDC: Adverse Childhood Experiences. (2020). Retrieved from https:\/\/www.cdc.gov\/violenceprevention\/aces\/index.html"},{"issue":"4","key":"3984_CR4","doi-asserted-by":"publisher","first-page":"913","DOI":"10.1542\/peds.108.4.913","volume":"108","author":"D Dobrez","year":"2001","unstructured":"Dobrez, D., Sasso, A. L., Holl, J., Shalowitz, M., Leon, S., & Budetti, P. (2001). Estimating the cost of developmental and behavioral screening of preschool children in general pediatric practice. Pediatrics, 108(4), 913\u2013922. https:\/\/doi.org\/10.1542\/peds.108.4.913","journal-title":"Pediatrics"},{"issue":"2","key":"3984_CR5","doi-asserted-by":"publisher","first-page":"156","DOI":"10.1016\/j.chiabu.2011.10.006","volume":"36","author":"X Fang","year":"2012","unstructured":"Fang, X., Brown, D. S., Florence, C. S., & Mercy, J. A. (2012). The economic burden of child maltreatment in the United States and implications for prevention. Child Abuse and Neglect, 36(2), 156\u2013165. https:\/\/doi.org\/10.1016\/j.chiabu.2011.10.006","journal-title":"Child Abuse and Neglect"},{"issue":"4","key":"3984_CR6","doi-asserted-by":"publisher","first-page":"245","DOI":"10.1016\/S0749-3797(98)00017-8","volume":"14","author":"VJ Felitti","year":"1998","unstructured":"Felitti, V. J., Anda, R. F., Nordenberg, D., Williamson, D. F., Spitz, A. M., Edwards, V., & Marks, J. S. (1998). Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults. The adverse childhood experiences (ACE) study. American Journal of Preventive Medicine, 14(4), 245\u2013258.","journal-title":"American Journal of Preventive Medicine"},{"issue":"1","key":"3984_CR7","doi-asserted-by":"publisher","first-page":"149","DOI":"10.1016\/j.acap.2020.05.028","volume":"21","author":"JM Fleckman","year":"2021","unstructured":"Fleckman, J. M., Scholer, S. J., Branco, N., & Taylor, C. A. (2021). Educating parents about corporal punishment and effective discipline: Pediatricians\u2019 preparedness, motivation, and barriers. Academic Pediatric, 21(1), 149\u2013157. https:\/\/doi.org\/10.1016\/j.acap.2020.05.028","journal-title":"Academic Pediatric"},{"key":"3984_CR8","doi-asserted-by":"publisher","first-page":"9","DOI":"10.1016\/j.chiabu.2017.01.017","volume":"71","author":"ET Gershoff","year":"2017","unstructured":"Gershoff, E. T., Lee, S. J., & Durrant, J. E. (2017). Promising intervention strategies to reduce parents\u2019 use of physical punishment. Child Abuse and Neglect, 71, 9\u201323. https:\/\/doi.org\/10.1016\/j.chiabu.2017.01.017","journal-title":"Child Abuse and Neglect"},{"issue":"2","key":"3984_CR9","doi-asserted-by":"publisher","first-page":"249","DOI":"10.2105\/ajph.87.2.249","volume":"87","author":"DB Herman","year":"1997","unstructured":"Herman, D. B., Susser, E. S., Struening, E. L., & Link, B. L. (1997). Adverse childhood experiences: Are they risk factors for adult homelessness? American Journal of Public Health, 87(2), 249\u2013255. https:\/\/doi.org\/10.2105\/ajph.87.2.249","journal-title":"American Journal of Public Health"},{"issue":"5","key":"3984_CR10","doi-asserted-by":"publisher","first-page":"812","DOI":"10.1007\/s10826-013-9733-2","volume":"23","author":"KD Hurley","year":"2014","unstructured":"Hurley, K. D., Huscroft-D\u2019Angelo, J., Trout, A., Griffith, A., & Epstein, M. (2014). Assessing parenting skills and attitudes: A review of the psychometrics of parenting measures. Journal of Child and Family Studies, 23(5), 812\u2013823. https:\/\/doi.org\/10.1007\/s10826-013-9733-2","journal-title":"Journal of Child and Family Studies"},{"issue":"5","key":"3984_CR11","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1003602","volume":"18","author":"J Jeong","year":"2021","unstructured":"Jeong, J., Franchett, E. E., Ramos de Oliveira, C. V., Rehmani, K., & Yousafzai, A. K. (2021). Parenting interventions to promote early child development in the first three years of life: A global systematic review and meta-analysis. PLoS Medicine, 18(5), e1003602. https:\/\/doi.org\/10.1371\/journal.pmed.1003602","journal-title":"PLoS Medicine"},{"key":"3984_CR12","volume-title":"Parenting matters: Supporting parents of children ages 0\u20138","author":"National Academies of Sciences, E, and Medicine","year":"2016","unstructured":"National Academies of Sciences, E, and Medicine. (2016). Parenting matters: Supporting parents of children ages 0\u20138. The National Academies Press."},{"issue":"2","key":"3984_CR13","doi-asserted-by":"publisher","first-page":"e286","DOI":"10.1542\/peds.2014-2497","volume":"135","author":"LK O\u2019Connell","year":"2015","unstructured":"O\u2019Connell, L. K., Davis, M. M., & Bauer, N. S. (2015). Assessing parenting behaviors to improve child outcomes. Pediatrics, 135(2), e286-288. https:\/\/doi.org\/10.1542\/peds.2014-2497","journal-title":"Pediatrics"},{"key":"3984_CR14","unstructured":"Play Nicely: The Healthy Discipline Program. (2015). Retrieved from http:\/\/www.playnicely.org"},{"issue":"12","key":"3984_CR15","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2023.46323","volume":"6","author":"C Peterson","year":"2023","unstructured":"Peterson, C., Aslam, M. V., Niolon, P. H., Bacon, S., Bellis, M. A., Mercy, J. A., & Florence, C. (2023). Economic burden of health conditions associated with adverse childhood experiences among US adults. JAMA Network Open, 6(12), e2346323. https:\/\/doi.org\/10.1001\/jamanetworkopen.2023.46323","journal-title":"JAMA Network Open"},{"key":"3984_CR16","doi-asserted-by":"publisher","first-page":"178","DOI":"10.1016\/j.chiabu.2018.09.018","volume":"86","author":"C Peterson","year":"2018","unstructured":"Peterson, C., Florence, C., & Klevens, J. (2018). The economic burden of child maltreatment in the United States, 2015. Child Abuse and Neglect, 86, 178\u2013183. https:\/\/doi.org\/10.1016\/j.chiabu.2018.09.018","journal-title":"Child Abuse and Neglect"},{"issue":"2","key":"3984_CR17","doi-asserted-by":"publisher","first-page":"306","DOI":"10.1007\/s11121-021-01320-w","volume":"23","author":"KA Sausen","year":"2022","unstructured":"Sausen, K. A., Randolph, J. W., Casciato, A. N., Dietrich, M. S., & Scholer, S. J. (2022). The development, preliminary validation, and clinical application of the quick parenting assessment. Prevention Science, 23(2), 306\u2013320. https:\/\/doi.org\/10.1007\/s11121-021-01320-w","journal-title":"Prevention Science"},{"key":"3984_CR18","doi-asserted-by":"publisher","DOI":"10.1177\/00099228241227756","author":"SJ Scholer","year":"2024","unstructured":"Scholer, S. J., Martin, H. K., Adams, L., & Dietrich, M. S. (2024). A brief intervention in primary care to improve parents\u2019 discipline practices and reach other caregivers. Clinical Pediatrics. https:\/\/doi.org\/10.1177\/00099228241227756","journal-title":"Clinical Pediatrics"},{"issue":"1","key":"3984_CR19","doi-asserted-by":"publisher","first-page":"177","DOI":"10.1007\/s10995-016-2107-9","volume":"21","author":"AE Smith","year":"2017","unstructured":"Smith, A. E., Hudnut-Beumler, J., & Scholer, S. J. (2017). Can discipline education be culturally sensitive? Maternal and Child Health Journal, 21(1), 177\u2013186. https:\/\/doi.org\/10.1007\/s10995-016-2107-9","journal-title":"Maternal and Child Health Journal"},{"key":"3984_CR20","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2019-3548","author":"JD Smith","year":"2020","unstructured":"Smith, J. D., Cruden, G. H., Rojas, L. M., Van Ryzin, M., Fu, E., Davis, M. M., & Brown, C. H. (2020). Parenting interventions in pediatric primary care: A systematic review. Pediatrics. https:\/\/doi.org\/10.1542\/peds.2019-3548","journal-title":"Pediatrics"},{"issue":"2","key":"3984_CR21","doi-asserted-by":"publisher","first-page":"147","DOI":"10.1177\/0009922812465944","volume":"52","author":"CA Taylor","year":"2013","unstructured":"Taylor, C. A., Moeller, W., Hamvas, L., & Rice, J. C. (2013). Parents\u2019 professional sources of advice regarding child discipline and their use of corporal punishment. Clinical Pediatrics, 52(2), 147\u2013155. https:\/\/doi.org\/10.1177\/0009922812465944","journal-title":"Clinical Pediatrics"},{"key":"3984_CR22","unstructured":"The Quick Parenting Assessment. (2020). Retrieved from http:\/\/www.quickparentingassessment.org"}],"container-title":["Maternal and Child Health Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10995-024-03984-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s10995-024-03984-6\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10995-024-03984-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,9,19]],"date-time":"2024-09-19T13:13:05Z","timestamp":1726751585000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s10995-024-03984-6"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,9,16]]},"references-count":22,"alternative-id":["3984"],"URL":"https:\/\/doi.org\/10.1007\/s10995-024-03984-6","relation":{},"ISSN":["1092-7875","1573-6628"],"issn-type":[{"value":"1092-7875","type":"print"},{"value":"1573-6628","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,9,16]]},"assertion":[{"value":"9 August 2024","order":1,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"16 September 2024","order":2,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Dr. Scholer is the author of the Quick Parenting Assessment and Play Nicely, a parenting program, both owned by Vanderbilt University. The other authors have no relevant declarations of interest to disclose.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing Interests"}},{"value":"The Vanderbilt IRB approved the study as a quality improvement project.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics Approval"}},{"value":"Implied consent was approved by the Vanderbilt IRB.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to Participate"}},{"value":"NA.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for Publication"}}]}}